Individual provider Active NPI

Alexander S Voljavec, MD

  • Internal Medicine Physician
  • Roswell, GA
National Provider Identifier
1528033883
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101050559 Issued in VA
Practice address
11685 Alpharetta Hwy
Ste 270
Roswell, GA 30076-4913
Phone
(770) 619-5100
Fax
(404) 250-8067
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101050559 VA Primary

Addresses

Primary practice location

11685 Alpharetta Hwy
Ste 270
Roswell, GA 30076-4913

Mailing address

11685 Alpharetta Hwy
Ste 270
Roswell, GA 30076-4913
Phone (770) 619-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000340 GA Practitioner - Internal Medicine 4981695350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services,LLC CurrentSince Sep 15, 2016 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Sep 15, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

11685 Alpharetta Hwy
Ste 270
Roswell, GA 30076
Phone (770) 410-4610

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1528033883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "STE 270",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-619-5100",
            "fax_number": "404-250-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "STE 270",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-619-5100",
            "fax_number": "404-250-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLJAVEC",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101050559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.